Individual
MRS. SONYA DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC UNDERSUPERVISIO
Contact information
Practice address
17091 S MUSKOGEE AVE, TAHLEQUAH, OK 74465-0000
(918) 453-5504
Mailing address
PO BOX 397, PARK HILL, OK 74451-0397
(918) 453-5504
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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